Doctor Name: | MS. CYNTHIA MARY BRAY |
NPI Number: | 1265650147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 2120 S Mcclintock Dr Suite 105 Tempe, AZ - 852822692 |
Business Phone Number: | 4808040326 |
Business Fax Number: | 4803027884 |
Mailing Address: | 1400 E Southern Ave, Ste. 735 TEMPE |
State: | AZ |
Postal Code: | 852825691 |
Phone Number: | 4808040326 |
Fax Number: | 4803027884 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |